Perceptions and Practices of Health Workers on Monitoring & Evaluation of Hiv Interventions at Mbagathi Hospital, Nairobi County

Abstract

The study on perceptions and practices of monitoring & evaluation of health workers on HIV/AIDs Interventions was conducted at Mbagathi Hospital, Nairobi County. The aim of the study was to establish how health workers at the Comprehensive Care Clinic at Mbagathi Hospital in Nairobi County perceive and practice monitoring and evaluation. The study employed a cross sectional research design and purposive sampling technique. The target population was health workers working in the Comprehensive Care Clinic (CCC) at Mbagathi Hospital. A semi-structured questionnaire was administered to the health workers. Microsoft Office Excel 2007 was used in the quantitative data analysis. The key results from the study indicate that the respondents agreed that it was important to keep proper HIV records. A majority of the respondents viewed M&E to be very useful. All the respondents stated that it was important to have an M&E Plan for it helps to monitor data activities and to improve efficiency. Most of the respondents were aware of written procedures/polices/guidelines that guide M&E processes within the CCC programme. On practices, all interviewed respondents indicated that they use M&E forms for record keeping; they summarize cases to get totals monthly. All respondents reported that at the end of the month they sent records to the HRIO. Most of the staff indicated that they take part in the development of data collection tools and data analysis. The respondents stated that there are feedback mechanisms in place and evaluation results are majorly used for decision making. Key recommendations on policy included continuous sensitization and review of written M&E guidelines to the health workers to ensure clarity and deeper internalization. Enhance discussions on HIV/AIDs indicators to ensure broader understanding of the HIV/AIDs indicators. To increase ownership, the M&E agenda should be introduced at team/departmental level. Feedback mechanisms should be periodically reviewed and strengthened. To facilitate evidence based policy making there is need for the M&E information provided to also be linked to health advocacy.